Provider Demographics
NPI:1124860325
Name:PAREDES TORRES, AURA CIRA
Entity type:Individual
Prefix:
First Name:AURA
Middle Name:CIRA
Last Name:PAREDES TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AURA
Other - Middle Name:CIRA
Other - Last Name:PAREDES TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5980 SCOTCHWOOD GLN APT 107
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-4324
Mailing Address - Country:US
Mailing Address - Phone:407-928-8053
Mailing Address - Fax:
Practice Address - Street 1:5980 SCOTCHWOOD GLN APT 107
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-4324
Practice Address - Country:US
Practice Address - Phone:407-928-8053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-351138106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician